Management of the Posttraumatic Coronoid-Deficient Elbow

Abstract

Posttraumatic coronoid deficiency is one of the most challenging scenarios even for the most experienced elbow surgeon. Surgical options can be grouped into soft tissue reconstructions, autogenous corticocancellous bone graft reconstructions, osteochondral reconstructions, and prosthetic replacement. However, the literature is inconclusive with limited cases, short follow-up, and no conclusive clinical comparative studies of these techniques. This article provides a review of the current surgical options, and we offer the senior author's (S.W.O.) perspective after years of experience with many of these techniques.

Keywords: Coronoid deficiency; coronoid reconstruction; osteochondral graft; posttraumatic elbow incongruity; posttraumatic elbow instability.